20151126 smb maroeska rovers

S
MITeC:	an innovative and unique
fieldlab to evaluate medical devices
and surgical procedures
Maroeska.Rovers@Radboudumc.nl
20151126 smb maroeska rovers
Wat	te	verwachten…..
• Wat	is	MITeC precies
• Wat	maakt	MITeC uniek
• Wat	gaan	we	doen
• Mogelijkheden	voor	Business	meets Science
Wat	is	MITeC
Een	kijkje	in	de	MITeC OKs
• http://www.rtlnieuws.nl/nieuws/laatste-videos-nieuws/veiliger-opereren-
de-super-ok
Maar	MITeC is	meer
• Een	gedachtengoed:
• Duurzame	professionele	samenwerking	met	instellingen	die	
bij	willen	dragen	aan	een	aantoonbaar	betere	en	betaalbare	
zorg
Wat	maakt	MITeC uniek
1. Geschakelde	operatiekamers
MRI,	hybride,	gewone	moderne	OK	
2. Multidisciplinaire	aanpak
3. Evidence-based surgery
4. Fieldlab
Wat	gaan	we	doen
• Oncologie
• Prostaat
• Hoofd- hals
• Gynacologie
• Pancreas
• Long
• Lever
• Cardio	thoracale	en	vaat	chirurgie:	stents	en	TAVI
• Neurochirurgie
• 3D-lab
• Robotica	i.s.m.	TuE
Materiaal: dr. S. Steens, radioloog en dr. R. Takes,KNO-arts
Coronalgraphic illustrates lateraloraltongue SCCa (white solid arrow) infiltrating intrinsic tongue muscles (white curved arrow). Coronalplane allows
scrutiny of extrinsictongue muscles (white open arrow), infiltration of which designates tumorT4a. Ipsilateral1B node also shown (blacksolid arrow).
Gebruik	van	fluorescentie
Antilichaam
bindt aan
tumor cellen
Fluorescentie
Tumor Fluorescentie signaal
Tumor
Invasie
van
tumor
cellen
à Zelfs kleine groepen van tumor cellen worden door antilichaam
gedetecteerd
Toepassing	in	de	kliniek
Lichtbeeld Fluorescentie
à Tumor wordt beter gezien
Pontus	et	al.,	Clin Cancer	Res	2003;	Van	Dam	et	al.,	Nat.	Med.	2011
Prostaat
- 2015: Surgical Oncology
- 2025: Surgical Oncology
Sustainability	healthcare	cost
=	New	technologies
Only 50%	of	new
treatments better
20302010 Year
20151126 smb maroeska rovers
Volkskrant, 22-2-2014
15-1-2014
Implementation =
Interactive evaluation /	consensus	meeting	and	
policy recommendations
Comparativeeffectiveness studies = In	collaboration with other centers
Pilots	/	PhaseII	studies = Fieldlab
Novel concepts = Dynamic modeling /	scenarios /	fieldlab
Opportunities = Headroom analyses
Societal needs (patients,	clinicians,	etc) = Interactiveevaluation /	scoping
A	new	approach
Implementation =
Interactive evaluation /	consensus	meeting	and	
policy recommendations
Comparativeeffectiveness studies = In	collaboration with other centers
Pilots	/	PhaseII	studies = Fieldlab
Novel concepts = Dynamic modeling /	scenarios /	fieldlab
Opportunities = Headroom analyses
Societal needs (patients,	clinicians,	etc) = Interactiveevaluation /	scoping
A	new	approach
MedValue
MITeC
1	jaar	MedValue
• 20	innovaties	onderzocht	door	vroege	HTA
• 3	interne	innovaties,	17	extern
• 50%	heeft	potentie	en	50%	niet	of	heel	beperkt
20 innovaties
10 met potentie
10 geen/beperkte potentie X
4 door naar fieldlabs
Radboudumc
6 verbinding met extern
netwerk
Filter:
early HTA
20151126 smb maroeska rovers
Business	meets Science I
• https://www.youtube.com/watch?v=-3eJDJ-qg_s&index=4&list=PLh0DI-
NPgJRaSte60l9P-WpJkZq1LvZbM
Business	meets Science II
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20151126 smb maroeska rovers